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The European Journal of Public Health 2004 14(2):120-122; doi:10.1093/eurpub/14.2.120
© 2004 by European Journal of Public Health
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Chronic diseases

Diabetes management by hospital-affiliated diabetes centres in Lazio, Italy

Alessio Petrelli1, Carlo Saitto1, Massimo Arcà1 and Carlo A. Perucci1

1 Department of Epidemiology ASL RME, Roma, Italy

Background: In Italy, diabetes centres are considered to provide adequate care but little is known about their performance. Methods: Inpatient and outpatient administrative databases were used to select and study a cohort of 2,568 diabetic patients. Adherence to guidelines and effect of patient characteristics and diabetes centre on treatment was assessed. Mortality rate was calculated. Results: Patients averaged 9.3 outpatient visits per year. Each patient received a mean of 21.8 ambulatory services per year but only 2.21 Haemoglobin A1C tests, and only 0.56 procedures suggested by the guidelines. Diabetes management depended mainly on the care centre. A mortality rate of 6.9 per hundred person-years was observed. Conclusions: Hospital-affiliated centres do not ensure adequate diabetes management.

Keywords: diabetes, quality of care, services evaluation

Received 17 April 2002. Accepted 15 January 2003.

* Correspondence: Carlo Saitto, MD, Department of Epidemiology ASL RME, Via di S. Costanza 53, 00198 – Roma, Italy, tel. +39 0683060461, fax +39 0683060463, e-mail: primcare{at}asplazio.it


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